Organization Active NPI

One Source Surgical Supplies LLC

Doing business as White Plains Surgical

  • Durable Medical Equipment & Medical Supplies
  • White Plains, NY
National Provider Identifier
1619541901
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ONE SOURCE SURGICAL SUPPLIES LLC
Doing business as
White Plains Surgical
Practice address
1 Winchester Rd
White Plains, NY 10601
Phone
(914) 948-4878
Fax
(866) 486-4959
NPI assigned
May 19, 2021
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jayant K Thaker, R.PH.
Title
Chief Executive Officer
Phone
(914) 948-4878

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Nursing Facility Supplies (DME) 332BN1400X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

1 Winchester Rd
White Plains, NY 10601

Mailing address

PO Box 72
White Plains, NY 10602-0072
Phone (914) 948-4878

Other identifiers 1

IdentifierTypeStateIssuer
769733OtherNYANCILLARY PROVIDER

Other names 1

  • White Plains Surgical Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.whiteplainssurgical.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

125 E Main St
Elmsford, NY 10523

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1619541901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106020072",
            "telephone_number": "914-948-4878",
            "fax_number": "866-486-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WINCHESTER RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-948-4878",
            "fax_number": "866-486-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE SURGICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "THAKER",
        "authorized_official_first_name": "JAYANT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "914-948-4878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCILLARY PROVIDER",
            "identifier": "769733",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.whiteplainssurgical.com",
            "affiliation": "N",
            "endpointDescription": "www.whiteplainssurgical.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 E Main St",
            "city": "Elmsford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105233217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "White Plains Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.